Organization Active NPI

David L. Streisfeld, M.D., P.C.

  • Ophthalmology Physician
  • Lebanon, PA
National Provider Identifier
1356526966
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD035567E Issued in PA
Legal business name
DAVID L. STREISFELD, M.D., P.C.
Practice address
834 Norman Dr
Lebanon, PA 17042-7444
Phone
(717) 272-6000
Fax
(717) 272-6118
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacquelyn Frazier
Title
Billing Supervisor
Phone
(717) 838-6462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD035567E PA Primary

Addresses

Primary practice location

834 Norman Dr
Lebanon, PA 17042-7444

Mailing address

834 Norman Dr
Lebanon, PA 17042-7444
Phone (717) 272-6000

Other identifiers 1

IdentifierTypeStateIssuer
0010589720002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080318000306 PA Part B Supplier - Clinic/Group Practice 3971689878 Receives reassigned benefits from 1 practitioner
Practice locations: Lebanon, PA

National Provider Directory

National Provider Directory

Locations

834 Norman Dr
Lebanon, PA 17042
Phone (717) 272-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1356526966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427444",
            "telephone_number": "717-272-6000",
            "fax_number": "717-272-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427444",
            "telephone_number": "717-272-6000",
            "fax_number": "717-272-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. STREISFELD, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "717-838-6462"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD035567E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010589720002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.